Clinical Skills Inventory

The Clinical Skills Inventory contains a listing of clinical problems and procedures that are routinely seen in ambulatory care settings. The Inventory can be used by students to define learning objectives, and to make self-assessments both at the beginning and at the end of the clerkship. Teachers can use the Inventory in much the same way: to identify skills and procedures they want the students to learn or focus on and to measure progress in mastering these tasks. This is an excellent way to establish mutual expectations for the course. During your orientation, ask your site coordinator if he/she wishes to review the clinical skills inventory with you. Some coordinators do not review the clinical skills inventory with the student.

Directions

1. Students place an (X) in the appropriate column to the right of the listed items indicating their level of experience with a given skill or procedure.

Categories on the Inventory are as follows:
_    No experience: Column marked (NE)
_    Observed only or limited experience: Column marked (O/L)
_    Considerable experience: Column marked (CE)

Definitions for levels of experience are intentionally broad.

Discuss more precisely with your clinical teachers what you mean by "limited" and "considerable" experience.

2. At the end of your clerkship, review the list again. Using a different color ink, make new check marks in each of the categories and evaluate your own progress during the clerkship.

If you have questions regarding the Clinical Skills Inventory, talk with your Site Coordinator or call Tom Greer, M.D in Seattle at 206.543.9425.

CLINICAL SKILLS INVENTORY FORM

DATA GATHERING AND ORGANIZATION SKILLS

* History TakingNEO/LCE
General medical history            
Drug/alcohol history            
Exercise/diet history            
Family function assessment            
Geriatric functional assess            
Prenatal history            
Pediatric interview            
Psychiatric assessment            
Prevention and risk assess            
Home/environ assess            

* OrganizationNEO/LCE
PO medical record            
Dictation of medical record            
Presentation            
Telephone triage            

PHYSICAL EXAM SKILLS

* Branching/Speciality ExamsNEO/LCE
Pre and postnatal exam            
Newborn exam            
Infant exam            
School-age child exam            
Adolescent exam            
Cardiovascular exam            
Musculoskeletal exam            
Pulmonary exam            
Gastrointestinal exam            
Neurological exam            
Pelvic exam            
Breast exam            
Male genital exam            
Prostate exam            
Visual acuity            
Other (specify):
____________________________            
____________________________            
____________________________            

PATIENT MANAGEMENT SKILLS

* Prescription Writing/Patient EducationNEO/LCE
Nutrition and diet education            
Self- testicular exam            
Self-breast exam            
Exercise            
Other self-monitoring for at risk patients (specify):
____________________________            
____________________________            
* Obtaining Informed Consent for Procedures            
* Assessing Compliance            
* Selecting and Negotiating with Consultants            
* Community Service            
*Individual Counseling
Depression            
Anxiety            
Family Planning            
Parenting problems            
Grief reaction            
Substance Abuse:
cigarettes            
alcohol            
drugs            
food            
Other (specify):
___________________________            
___________________________            
* Group/Family Counseling            
* Psychosocial Therapeutics
Crisis intervention            
Behavior modification            
Stress reduction/relaxation            
Confrontation/intervention            

COMMON PROBLEMS MANAGEMENT

Chronic obstructive pulmon.            
Depression            
Dermatitis eczema            
Diabetes mellitus            
Gastroenterology (peds.)            
Headaches            
Health maintenance:            
  Adult            
  Pediatric            
  Pregnancy care            
Hypertension            
Ischemic heart dx.(angina)            
Lacer./abrasion/contusion            
Low back pain            
Lower respiratory infection            
Otitis media            
Sprains, strains            
Upper respiratory infection            
Urinary tract infection            
Vaginitis            

PERFORMANCE/INTERPRETATION OF LABS AND OTHER INVESTIGATIONS

KOH and saline preps            
Gram stain            
Urinalysis            
ECG            
Perform lumbar puncture            
Chest x-rays            
Other x-rays (specify):
___________________________            
___________________________            
Stress tests            
Tympanogram            
Give Injection            
Give/Interpret Tine /PPD            
Pregnancy test            
Other (specify):
___________________________            
___________________________            

PROCEDURAL SKILLS

* CardiovascularNEO/LCE
Venipuncture            
Start IV            
Cardiopulm.arrest proced.            
* Pulmonary
Office Pulm.function test            
* Gastrointestinal
Sigmoidoscopy            
* Genitourinary
Catherization:
  male            
  female            
Neonatal circumcision            
Vasectomy            
Obtain GC and chylamida cultures            
* EENT
Cerumen removal            
Foreign body removal (eye)            
Epistaxis control - initial            
Audiometry            
Tympanometry            
Tonometry            
Other (specify)
___________________________            
___________________________            

* OB/GYNNEO/LCE
Pap smear            
Normal delivery            
IUD insertion            
Diaphragm fitting            
Therapeutic abortion            
Episiotomy repair            
Interpret fetal monitoring            
* Musculoskeletal
Taping ankle            
Application of splints            
Application of casts            
Removal of casts            
Injection of trigger point            
Arthrocentesis            
* Dermatology
Skin biopsy            
Minor plastics/sutures            
Excision/superficial lesions            
Treatment of l_ and 2_ burns            
Appl'c. of liquid nitrogen            
Digital block & local anest.            
Treatment ingrown toenail            
Incision/drainage of abscess            
Fulguration            
No Experience (NE)/ Observed Only or Limited Experience (O/L)/ Considerable Experience (CE)